<html>
<form name="input" action="insert-contact2.php" method="post"><br />
Firstname: <input type="text" name="fname"><br />
Surname: <input type="text" name="sname"><br />
Title: <input type="text" name="title"><br />
Type: <input type="text" name="role"><br />
Phone number: <input type="text" name="pnumber1"><br />
Contacts Email: <input type="text" name="contact_email"><br />
Address: <input type="text" name="address"><br />
<select name="ice">
<option value="1">Ice</option>
<option value="2">Main Ice</option>
<option value="0">Not Ice</option>
</select><br/>
User Email:<input type="text" name="user_email" ><br />

<input type="submit" value="Submit">
</form>
</html>